Organization
PHYSICIANS MANAGEMENT SERVICES LLC
Active
Other names
INJURY 1 TREATMENT CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
NAT MANGUM (CEO)
(469) 688-6628
Entity
Organization
Contact information
Practice address
185 EASTGATE PLZ, WACO, TX 76705-2868
(254) 412-2667
(254) 798-5766
Mailing address
5931 DESCO DR, DALLAS, TX 75225-1604
(214) 563-5122
(214) 361-1235
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
15980
TX
101YP2500X
Professional Counselor
17173
TX
101YP2500X
Professional Counselor
20025
TX
103T00000X
Psychologist
21357
TX
208D00000X
General Practice Physician
Primary
J1957
TX
225100000X
Physical Therapist
1014587
TX
225100000X
Physical Therapist
1030278
TX
Other
Enumeration date
01/29/2007
Last updated
04/22/2009
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